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Medication manipulation in bulimia nervosa: An additional diagnostic criterion?
Author(s) -
Fornari Victor,
Edleman Robert,
Katz Jack L.
Publication year - 1990
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199009)9:5<585::aid-eat2260090516>3.0.co;2-5
Subject(s) - bulimia nervosa , weight gain , weight loss , psychology , psychiatry , body weight , order (exchange) , psychotherapist , medicine , eating disorders , obesity , finance , economics
Manipulation or abuse of certain medications by patients can result in changes in their weight. This can be accomplished in at least three ways: 1) medications prescribed for a patient for the treatment of certain medical problems can be taken in a way other than prescribed; 2) medications not prescribed for a person can be taken in order to prevent weight gain or induce weight loss; and 3) illegal substances can be taken in an effort to lose weight. Case examples are presented. We propose that the criteria for the diagnosis of Bulimia Nervosa be expanded to include the possibility of manipulation or abuse of medications in order to intentionally avoid weight gain or to lose weight.